ISO 13606-2:2019
Health informatics — Electronic health record communication — Part 2: Archetype interchange specification
Health informatics — Electronic health record communication — Part 2: Archetype interchange specification
- Статус документа:
- Действующий
- Формат:
- Электронный (PDF)
- Количество страниц:
- 71
- Дата публикации:
- 7 июня 2019 г.
- Издание:
- ISO IS 13606 edition 2 version 1
- ICS:
- 35.240.80
This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository. It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components) that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system. This document will predominantly be used to support the direct care given to identifiable individuals, or to support population monitoring systems such as disease registries and public health surveillance. Uses of health records for other purposes such as teaching, clinical audit, administration and reporting, service management, research and epidemiology, which often require anonymization or aggregation of individual records, are not the focus of this standard series but such secondary uses might also find it useful. This document defines an Archetype Model to be used to represent Archetypes when communicated between repositories, and between archetype services. It defines an optional serialised representation, which may be used as an exchange format for communicating individual archetypes. Such communication might, for example, be between archetype libraries or between an archetype service and an EHR persistence or validation service.
Abstract
Overview
ISO 13606-2:2019 - "Health informatics - Electronic health record communication - Part 2: Archetype interchange specification" defines an Archetype Model and optional serialized representation for exchanging archetypes used in Electronic Health Record (EHR) communication. The standard supports interoperable transfer of part or all of an EHR between systems, between systems and central repositories, and between archetype services, libraries and clinical/middleware components. It focuses on enabling semantic interoperability through rigorously defined archetype structures and metadata.
Key topics and technical requirements
- Archetype Model (AOM): Formal object model describing archetype meta-data, structural definitions, constraints and governance needed for consistent EHR content modelling.
- Archetype interchange format: An optional serialized representation for communicating individual archetypes between repositories, libraries and services.
- Constraint and rules packages: Specification of node-level constraints, data value constraints, second‑order constraints and validation rules to ensure consistent interpretation of clinical content.
- Terminology bindings: Support for external term bindings expressed as URIs (IHTSDO-style), and explicit value‑sets for coded terms.
- Identification and governance: Multi-part namespace archetype identifiers and governance metadata to manage versioning and lifecycle.
- Model enhancements in 2019 edition: New internal coding scheme (id-codes, at-codes, ac-codes), tuple constraints for co‑varying attributes (e.g., quantities), re-engineered primitive constrainers (C_STRING, C_DATE, etc.), full specialisation support and node-level annotations.
- Conformance and semantics: Requirements for how archetypes are represented and validated, enabling consistent mapping to the ISO 13606 Reference Model used for EHR extracts.
Practical applications
- Enable semantic interoperability across heterogeneous EHR systems by exchanging reusable archetypes that define clinical data structure and constraints.
- Exchange archetypes between archetype libraries, EHR persistence/validation services and clinical decision support or middleware components.
- Support creation of standardized EHR extracts for direct patient care, as well as population monitoring (disease registries, public health surveillance).
- Facilitate template development, version control and governance of clinical models used in integration projects, analytics and quality reporting (secondary uses often require anonymization/aggregation).
Who should use ISO 13606-2:2019
- EHR vendors and system integrators building interoperable interfaces
- Health IT architects and clinical modelling teams creating archetypes and templates
- National/regional health repositories and archetype library maintainers
- Developers of clinical applications, middleware and decision support systems that consume or validate EHR data
Related standards
- ISO 13606-1 (Reference Model), ISO 13606-3 (Reference archetypes), ISO 13606-5 (Exchange models)
- openEHR archetype specifications and Clinical Information Modelling Initiative (CIMI) - collaborative inputs referenced in the standard
Keywords: ISO 13606-2, EHR communication, archetype interchange, archetype model, health informatics, semantic interoperability, electronic health record.
Технические детали
- Технический комитет
- ISO/TC 215 - Health informatics
- SKU
- ISO 13606-2:2019
Похожие стандарты
Стандарты, упомянутые в описании